Scandinavian Journal of Public Health最新文献

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Exploring variations in subjective well-being among Norwegian retirees: A growth mixture modelling approach. 探索挪威退休人员主观幸福感的变化:增长混合模型法
IF 2.6 3区 医学
Scandinavian Journal of Public Health Pub Date : 2024-12-17 DOI: 10.1177/14034948241291091
Lars Bauger
{"title":"Exploring variations in subjective well-being among Norwegian retirees: A growth mixture modelling approach.","authors":"Lars Bauger","doi":"10.1177/14034948241291091","DOIUrl":"10.1177/14034948241291091","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to identify subgroups of Norwegian retirees with similar trajectories of subjective well-being (SWB) across the retirement transition and to explore how various factors influence these SWB trajectories.</p><p><strong>Methods: </strong>The study employed growth mixture modelling to analyze longitudinal data, exploring the trajectories of life satisfaction, positive affect and negative affect in retirement transition. It also examined the influence of factors such as demographic, living arrangement, pre-retirement work conditions, individual characteristics and available resources on these SWB trajectories.</p><p><strong>Results: </strong>Contrary to the hypothesised three distinct SWB trajectories in retirement, the results more strongly support a single group solution for life satisfaction and positive affect. For negative affect, a two-group solution, consisting of one group with stable low and another with stable high negative affect, was preferred. The study identified several predictors of SWB trajectories.</p><p><strong>Conclusions: </strong>\u0000 <b>The findings suggest that retirement is a neutral life event with stable SWB trajectories. However, several factors significantly influence whether retirees experience higher or lower SWB in retirement. The findings of this study provide updated insights into the heterogeneity of the retirement experience, as well as highlight important factors for retirement SWB.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241291091"},"PeriodicalIF":2.6,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resources and strategies young people use and need to promote mental health - a qualitative study from a salutogenic perspective. 青少年为促进心理健康而使用和需要的资源与策略--从致敬的角度进行的定性研究。
IF 2.6 3区 医学
Scandinavian Journal of Public Health Pub Date : 2024-12-14 DOI: 10.1177/14034948241302392
Sofie Lundström, Hrafnhildur Gunnarsdottir, Ellinor Tengelin
{"title":"Resources and strategies young people use and need to promote mental health - a qualitative study from a salutogenic perspective.","authors":"Sofie Lundström, Hrafnhildur Gunnarsdottir, Ellinor Tengelin","doi":"10.1177/14034948241302392","DOIUrl":"https://doi.org/10.1177/14034948241302392","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to explore young people's experiences of resources and strategies for promoting their mental health.</p><p><strong>Methods: </strong>Individual interviews with 33 people aged 16-25 years were conducted using a method inspired by cognitive interviewing, which combines think aloud techniques with probing questions. The interviews were based on the young people's reflections of the questions in the Swedish national public health survey. Data were analysed with reflexive thematic analysis.</p><p><strong>Results: </strong>The resources and strategies that the young people in this study described as important for promoting mental well-being are related to societal prerequisites needed to navigate life; to their immediate surroundings, including social interactions; and to the young people themselves. These resources and strategies are presented under the following three themes: prerequisites for navigating life, social interactions on one's own terms, and who I am and what I can do.</p><p><strong>Conclusions: </strong>Young people have a variety of resources and strategies of their own available for promoting mental well-being. However, they cannot promote mental health just on their own; access to social networks and the opportunity to share thoughts and feelings are central. Further, to promote mental health, young people need good social conditions, knowledge, and support from adults so that the existence they struggle to navigate feels comprehensible, manageable and meaningful.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241302392"},"PeriodicalIF":2.6,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adolescents' screen-based media use and the relationship with moderate-to-vigorous physical activity, sports club participation and active commuting. 青少年使用屏幕媒体的情况以及与适度到剧烈运动、参加体育俱乐部和积极通勤之间的关系。
IF 2.6 3区 医学
Scandinavian Journal of Public Health Pub Date : 2024-12-14 DOI: 10.1177/14034948241293603
Ellen Haug
{"title":"Adolescents' screen-based media use and the relationship with moderate-to-vigorous physical activity, sports club participation and active commuting.","authors":"Ellen Haug","doi":"10.1177/14034948241293603","DOIUrl":"https://doi.org/10.1177/14034948241293603","url":null,"abstract":"<p><strong>Aim: </strong>A worry regarding young people's physical activity engagement relates to a potentially competing development: the role of screen-based media (SBM) in their everyday lives. The present study aimed to assess time spent on different types of SBM, self-reported moderate-to-vigorous physical activity (MVPA) and physical activity in different domains and their interrelations.</p><p><strong>Methods: </strong>The study is based on data from 3737 participants aged 11, 13 and 15 years from Norway collected in 2021/2022 as part of the Health Behaviour in School-aged Children collaborative cross-national survey.</p><p><strong>Results: </strong>The findings revealed high amounts of total SBM time. There were age and gender differences in physical activity, especially with lower levels of active transport during leisure time among girls than among boys. A series of binary logistic regression analyses with adjustment for age, gender and socioeconomic status showed that high levels of total SBM time were negatively associated with involvement in club sports, active school transport, active travel to friends and leisure activities, and 60 min MVPA 5 days/week. Gaming and social media use were also negatively associated with most of the physical activity indicators. All SBM variables were negatively associated with involvement in club sports and 60 min MVPA 5 days/week.</p><p><strong>Conclusions: </strong>\u0000 <b>The study demonstrates negative associations between SBM time among adolescents and physical activity in various domains. Actions to facilitate youth physical activity in the digital age seem crucial. Additional studies with nuanced data on these behaviours and longitudinal research design allowing for examining their interrelations over time are needed.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241293603"},"PeriodicalIF":2.6,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social sustainability in local communities in Norway: which factors are associated with people's satisfaction with their local community as a place to live now and in the future? 挪威当地社区的社会可持续性:哪些因素与人们对当地社区作为现在和未来居住地的满意度有关?
IF 2.6 3区 医学
Scandinavian Journal of Public Health Pub Date : 2024-12-13 DOI: 10.1177/14034948241288758
Ragnhild M Ånestad, Emma C A NordbØ, Camilla IhlebÆk
{"title":"Social sustainability in local communities in Norway: which factors are associated with people's satisfaction with their local community as a place to live now and in the future?","authors":"Ragnhild M Ånestad, Emma C A NordbØ, Camilla IhlebÆk","doi":"10.1177/14034948241288758","DOIUrl":"10.1177/14034948241288758","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the associations between social sustainability factors and people's satisfaction with their local community as a place to live now and in the future.</p><p><strong>Methods: </strong>This study used data from the Norwegian County Public Health Survey conducted in Viken County, Norway, in 2021 (<i>N</i> = 97,323). The survey included questions concerning physical aspects (e.g. accessibility of services and facilities) and non-physical aspects (civic participation, social support, trust, safety, place attachment and well-being) of social sustainability in local communities. A new outcome variable was constructed to capture people's satisfaction with their local community as a place to live now and in the future. Hierarchical linear regression was applied to examine the relationships between physical and non-physical factors of social sustainability and this outcome.</p><p><strong>Results: </strong>All included factors were significantly associated with people's satisfaction with their local community as a place to live now and in the future, but the magnitude and direction of these associations varied. Place attachment (β = 0.53), safety (β = 0.15) and well-being (β = 0.11) were the strongest indicators of people's satisfaction with their local community. Non-physical factors accounted for 41% of the variance in people's satisfaction, while physical factors accounted for 14%.</p><p><strong>Conclusions: </strong>\u0000 <b>Both physical and non-physical factors are essential for developing socially sustainable communities. This knowledge could be valuable for academics and policymakers, helping them better understand the complex relationships between various aspects of social sustainability and informing the development of socially sustainable local communities.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241288758"},"PeriodicalIF":2.6,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unmet need for and barriers to receiving health care and social welfare services in Finland. 在芬兰,对保健和社会福利服务的需求未得到满足,而且在接受保健和社会福利服务方面存在障碍。
IF 2.6 3区 医学
Scandinavian Journal of Public Health Pub Date : 2024-12-11 DOI: 10.1177/14034948241299019
Katja M Ilmarinen, Anna-Mari Aalto, Anu L Muuri
{"title":"Unmet need for and barriers to receiving health care and social welfare services in Finland.","authors":"Katja M Ilmarinen, Anna-Mari Aalto, Anu L Muuri","doi":"10.1177/14034948241299019","DOIUrl":"10.1177/14034948241299019","url":null,"abstract":"<p><strong>Aim: </strong>Need-based access to health care and social welfare services is an element of health promotion, and it endorses equity and the principles of universalism in society. To explore access to services, this study analyses unmet need for services, barriers that impede access and whether individual characteristics are associated with service access. The study period coincided with the COVID-19-pandemic and health and social services reform in Finland.</p><p><strong>Method: </strong>The prevalence of subjective unmet need was used as an indicator of service access. Inconvenient opening hours, a difficult journey to the service unit and high user fees were barriers to receiving services. A nationally representative FinSote survey 2018 and 2020 was used in the analyses. Data were examined with multivariate logistic regression models using SPSS.</p><p><strong>Results: </strong>A high prevalence of unmet need for health care and especially for social welfare services was observed. The prevalence of unmet need increased from 2018 to 2020, but in health care only, and access to social welfare services deteriorated. In particular, women, younger people, those who need income support and those with poor health or quality of life forgo care.</p><p><strong>Conclusions: </strong>\u0000 <b>A considerable share of the Finnish population do not receive essential services according to need and face barriers in accessing services. Individual characteristics are associated with perceived unmet need and access barriers despite the ethos of equal opportunities. COVID-19 measures are likely to have worsened the situation. Actions to improve access must urgently be implemented to achieve the policy goals of health promotion, equity in health and universalism.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241299019"},"PeriodicalIF":2.6,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Voices from the margins: A qualitative study exploring components influencing psychosocial health and wellbeing among gender minority forced migrants. 来自边缘的声音:一项探讨影响性别少数群体被迫移徙者心理社会健康和福祉因素的定性研究。
IF 2.6 3区 医学
Scandinavian Journal of Public Health Pub Date : 2024-12-10 DOI: 10.1177/14034948241301874
Maria Gottvall, Rummage Isaac, Osszián Péter-Szabó, Ronah Ainembabazi, Tommy Carlsson
{"title":"Voices from the margins: A qualitative study exploring components influencing psychosocial health and wellbeing among gender minority forced migrants.","authors":"Maria Gottvall, Rummage Isaac, Osszián Péter-Szabó, Ronah Ainembabazi, Tommy Carlsson","doi":"10.1177/14034948241301874","DOIUrl":"https://doi.org/10.1177/14034948241301874","url":null,"abstract":"<p><strong>Aims: </strong>To explore the components that influence health and wellbeing of gender minority forced migrants residing in Sweden.</p><p><strong>Methods: </strong>Qualitative exploratory study based on semi-structured interviews with gender minority forced migrants recruited through a combination of convenience, purposeful and snowball sampling. Guided by the levels in the social ecological model, transcripts were analysed with systematic text condensation in a collaborative process between experts by lived experience, researchers and clinical psychologist.</p><p><strong>Results: </strong>Participants expressed resilience and hope about their future. Loneliness was a major issue contributing to health burdens and peer support was highly appreciated. Barriers hindering access to health services and judgemental behaviours among health professionals were described. Affirming support through empathy, trust, safety, confidentiality, continuity and respect was highlighted as essential in health services. While societal openness and safety for gender minority individuals was appreciated, participants faced an uncertain asylum process and unmet basic needs.</p><p><strong>Conclusions: </strong>Gender minority forced migrants show resilience and appreciate the newfound societal safety. However, they find themselves in the margins of society and encounter various multi-layered challenges. Loneliness is a public health concern that could be addressed through peer support, which is highly desired and valued. Ensuring access to affirming health services should be a prioritized area for researchers, professionals, stakeholders and policy-makers.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241301874"},"PeriodicalIF":2.6,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continued increasing social inequality in mortality in Denmark - a nationwide register-based follow-up on previous mortality studies. 丹麦死亡率方面的社会不平等现象继续加剧——对以前的死亡率研究进行的一项全国性的基于登记册的后续行动。
IF 2.6 3区 医学
Scandinavian Journal of Public Health Pub Date : 2024-12-10 DOI: 10.1177/14034948241302921
Henrik Brønnum-Hansen
{"title":"Continued increasing social inequality in mortality in Denmark - a nationwide register-based follow-up on previous mortality studies.","authors":"Henrik Brønnum-Hansen","doi":"10.1177/14034948241302921","DOIUrl":"https://doi.org/10.1177/14034948241302921","url":null,"abstract":"<p><strong>Objective: </strong>Social inequality in mortality has increased in many countries worldwide and does not appear to be levelling off. Denmark is no exception, and the latest developments are presented in this short communication.</p><p><strong>Methods: </strong>Trends in life expectancy and changes in the shape of the age-at-death distribution are calculated from nationwide register data on income and education linked to mortality data.</p><p><strong>Results: </strong>Since 1987, the difference in life expectancy between the lowest and highest income quartiles has increased by 5.4 years for men and by 2.0 years for women. The difference in life expectancy (at age 30) between education groups has also increased. The latest developments indicate a decline in life expectancy for men and women in the lowest income quartile and with the shortest education.</p><p><strong>Conclusions: </strong>\u0000 <b>Reducing social inequality in health and mortality has been on the agenda for successive Danish governments for more than 20 years, but social inequality in life expectancy is still increasing.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241302921"},"PeriodicalIF":2.6,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlates of active commuting to school across two generations: the Cardiovascular Risk in Young Finns Study. 两代人积极通勤上学的相关性:芬兰年轻人的心血管风险研究
IF 2.6 3区 医学
Scandinavian Journal of Public Health Pub Date : 2024-12-10 DOI: 10.1177/14034948241304246
Th Suominen, T Kukko, X Yang, K Pahkala, S Rovio, M Hirvensalo, M Kähönen, O Raitakari, Th Tammelin, K Salin
{"title":"Correlates of active commuting to school across two generations: the Cardiovascular Risk in Young Finns Study.","authors":"Th Suominen, T Kukko, X Yang, K Pahkala, S Rovio, M Hirvensalo, M Kähönen, O Raitakari, Th Tammelin, K Salin","doi":"10.1177/14034948241304246","DOIUrl":"https://doi.org/10.1177/14034948241304246","url":null,"abstract":"<p><strong>Aims: </strong>Active commuting to school (ACS), a source of physical activity (PA), has declined in many countries over recent decades. This study investigates ACS and the factors associated with it among Finnish children and adolescents across two generations: those born between 1965-74 and 1998-2010. We also explore potential generational differences in these associations.</p><p><strong>Methods: </strong>School commuting was self-reported by 2075 participants of the ongoing population-based Young Finns Study in 1983 (generation 1 (G1), aged 9-18, 52% female), and by their 1137 offspring in 2018 (generation 2 (G2), aged 8-20, 53% female). Factors associated with ACS and the moderating effect of generation on these associations were examined using generalized estimating equation models for clustered binary data, for summer and winter seasons separately.</p><p><strong>Results: </strong>A greater distance to school (<i>p</i> < 0.001) and belonging to G2 (<i>p</i> ⩽ 0.049) were negatively associated with ACS during both seasons. High parental leisure-time PA (<i>p</i> ⩽ 0.025 for both seasons) and urban living area (<i>p</i> < 0.001 for summer) were positively associated with ACS. Generation moderated the associations of school grade and parental income with ACS in the summer (<i>p</i> ⩽ 0.015). Among G1 only, attending lower secondary school (vs. primary school) was negatively associated with ACS, while higher parental income was positively associated with ACS. Neither gender nor parental education was associated with ACS.</p><p><strong>Conclusions: </strong>ACS was less common among the younger generation. Several correlates of ACS were identified, with generational differences. These findings can inform further research and guide policy decisions to promote ACS and ultimately enhance the PA of children and adolescents.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241304246"},"PeriodicalIF":2.6,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social prescribing initiatives connecting general practice patients with community-based physical activity: A scoping review with expert interviews. 将全科患者与社区体育活动联系起来的社会处方倡议:与专家访谈的范围审查。
IF 2.6 3区 医学
Scandinavian Journal of Public Health Pub Date : 2024-12-06 DOI: 10.1177/14034948241299878
Lene Gissel Rasmussen, Rasmus Østergaard Nielsen, Jemma Hawkins, Per Kallestrup, Julie Midtgaard, Knud Ryom
{"title":"Social prescribing initiatives connecting general practice patients with community-based physical activity: A scoping review with expert interviews.","authors":"Lene Gissel Rasmussen, Rasmus Østergaard Nielsen, Jemma Hawkins, Per Kallestrup, Julie Midtgaard, Knud Ryom","doi":"10.1177/14034948241299878","DOIUrl":"https://doi.org/10.1177/14034948241299878","url":null,"abstract":"<p><strong>Aims: </strong>The World Health Organization states that physical inactivity is one of the leading behavioural risk factors for disability and mortality in Europe. Social prescribing holds promise as a possible solution by connecting patients from general practice to community-based physical activity. Although research within social prescribing exists, the process of connecting general practice patients to community-based physical activity is not well investigated. This scoping review aimed to summarise and synthesise knowledge on social prescribing provided by health professionals in general practice towards community-based physical activity.</p><p><strong>Methods: </strong>A systematic search for literature in PubMed, Embase, Scopus, SportsDiscus and other sources was conducted to identify initiatives connecting general practice to community-based physical activity. Semi-structured interviews were then conducted with subject-specific national experts. Finally, preliminary findings from the literature and the interviews were used in a co-creation process with experts to synthesise and finalise the results of a thematic analysis across data sources.</p><p><strong>Results: </strong>Based on 19 records, five expert interviews and subsequent co-creation, we identified three themes: (a) barriers and facilitators, (b) organisational perspectives and (c) value-based considerations.</p><p><strong>Conclusions: </strong>\u0000 <b>This review illuminates the complex nature of social prescribing programmes that connect general practice patients to community-based physical activity in Denmark. It also presents practical and fundamental considerations when applying social prescribing across different settings.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241299878"},"PeriodicalIF":2.6,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The influence of the multifactorial falls prevention programme on mortality. 多因素预防跌倒方案对死亡率的影响。
IF 2.6 3区 医学
Scandinavian Journal of Public Health Pub Date : 2024-12-05 DOI: 10.1177/14034948241285559
Niko Korpi, Marja Mikkelsson, Tomi Korpi, Hannu Kautiainen
{"title":"The influence of the multifactorial falls prevention programme on mortality.","authors":"Niko Korpi, Marja Mikkelsson, Tomi Korpi, Hannu Kautiainen","doi":"10.1177/14034948241285559","DOIUrl":"https://doi.org/10.1177/14034948241285559","url":null,"abstract":"<p><strong>Aims: </strong>Multifactorial falls prevention programmes (MFFPs) can prevent falls and fall-related injuries. We aimed to study MFFP patients' mortality compared with their sex-, age- and residence-matched population-based controls.</p><p><strong>Methods: </strong>This study is a Finnish single-centre retrospective register-based controlled cohort study of a total of 527 home-dwelling MFFP patients and their 3:1 age-, sex- and residence-matched population-based controls (<i>n</i> = 1581), who had not attended the MFFP.</p><p><strong>Results: </strong>During the follow-up, the cumulative mortality of all patients was 40.4, and of controls 39.1 %. Hazard ratio was 0.82 (95% confidence interval 0.68 to 0.99), <i>p</i>= 0.041. Case patients had a 2.7 times greater risk to die due to accidents, but they had a lower risk to die due to dementia, compared with the control group. The 72-years-old or older participants had a lower mortality rate than the controls during follow-up.</p><p><strong>Conclusions: </strong>\u0000 <b>The MFFP seems to relate to a lower all-cause mortality when comparing MFFP patients with their age-, sex- and residence-matched controls. However, the MFFP did not seem to relate to a lower injury-related mortality. The relationship between the MFFP and lower all-cause mortality seemed to be strongest in the patients aged 72 years or older. Due to the study setting and population-based control group, it is difficult to draw solid conclusions and further studies are needed. A randomized controlled trial comparing the MFFP with standard care would give better insight on the effectiveness of a MFFP on mortality.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241285559"},"PeriodicalIF":2.6,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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